Fibula fracture sequelae

Fibula fracture is a very common phenomenon. If we are not careful enough in our daily life, this phenomenon will easily occur. Fibula fracture also has a great impact on our lives. Generally, people with such conditions cannot move, and will have calf pain and swelling. Sometimes there will be some deformities. It is necessary to get timely treatment to avoid sequelae of fibula fracture.

There are many symptoms of fibula fracture, the most obvious of which is pain. It is necessary to receive treatment as soon as possible. It is important to deal with the wound in time. Certain principles should also be followed during treatment. Many people are concerned about the sequelae of fibula fracture.

Are there any sequelae after treatment of fibula fracture?

Except for transverse fractures of the lower tibia, which often experience delayed healing, most tibia and fibula fractures can heal within 4 to 8 weeks. As long as the overlapping displacement of the tibia is corrected and a good force line is maintained without angulation or rotation, the prognosis is generally good. The tibia was slightly displaced laterally and the fibula healed dislocated, neither of which affected the function. During the fixation process, you need to actively practice to prevent foot drop. If the recovery is good, there will be no sequelae. Compared to normal, of course, I need to rest in bed more and raise my legs to promote blood circulation. It will take nearly three months to fully recover.

Treatment of fibula fractures

The treatment method for tibia and fibula fractures should be external fixation or open reduction and internal fixation according to the fracture type and the degree of soft tissue injury.

For transverse fractures and short oblique fractures with no displacement after plaster fixation or stable fracture contact without lateral displacement after reduction, manual reduction and long-leg plaster external fixation are performed under anesthesia. When applying plaster fixation, the knee joint should be kept in a slightly flexed position of about 15°. For unstable fractures with oblique bone traction, spiral or mild comminuted fractures, it is impossible to maintain good alignment with external fixation alone. The calcaneal traction can be performed under local anesthesia and fixed with a spiral traction frame.

Open reduction and internal fixation of tibia and fibula fractures generally have a longer bone healing period. Long-term plaster external fixation will inevitably affect the function of the knee and ankle joints. Currently, more and more people are using open reduction and internal fixation.

1. Internal fixation with screws

For oblique or spiral fractures, screw fixation can be used. After open reduction, 1 to 2 screws are used to fix the fracture site to maintain the fracture position.

2. Fixing with steel plate screws

It is applicable to oblique, transverse or comminuted fractures. Because the skin and subcutaneous tissue on the anterior medial side of the tibia are thin, the plate is best placed on the lateral side of the tibia, deep to the tibialis anterior muscle. The compression plate fixation is effective, the fracture healing is relatively accelerated, and the knee and ankle joints are not affected.

3. Internal locking intramedullary nail fixation

The anatomical characteristics of the tibial shaft are a wide medullary cavity and articular surfaces at both the upper and lower ends. The insertion of the internal locking medullary nail is not restricted and the rotational external force can be controlled. It can effectively control lateral, rotational and angular displacement, and no external fixation is required after surgery. The functions of the knee and ankle joints are not affected, and the fracture healing period is significantly shortened. Intramedullary nailing of multiple fractures can prevent angular deformity and achieve better results.

4. External fixator

For tibia and fibula fractures with severe skin damage, an external fixator can ensure the fixation of the fracture and facilitate the observation and treatment of soft tissue injuries. Another advantage is that the movement of the knee and ankle joints is not affected, and the patient can even get out of bed and walk with a brace. Therefore, it has been widely used in recent years.

Drug treatment:

1. Initial stage: [Treatment method] Promote blood circulation, remove blood stasis, reduce swelling and relieve pain.

[Prescription] Main prescription: Huoxue Zhitong Decoction.

Prescription: 12 grams of Angelica sinensis, 6 grams of Chuanxiong, 6 grams of frankincense, 5 grams of Sappan wood, 5 grams of safflower, 6 grams of myrrh, 9 grams of Eupolyphaga sinensis, 3 grams of Panax notoginseng, 9 grams of red peony root, 5 grams of tangerine peel, 6 grams of Lophatherum gracile, and 9 grams of Bauhinia vine. Take it in decoction, 1 dose per day.

If the swelling is severe, add 12 grams of Akebia and 12 grams of Imperatae cylindrica. For patients with open fractures, add 12 grams of wild chrysanthemum, 6 grams of coptis chinensis, and 12 grams of gardenia.

External use prescription: Huoxue Xiaozhong San

Prescription: 2 parts of rhubarb, 2 parts of Platycladus orientalis leaves, 1 part of Zedoaria, 1 part of Phellodendron chinense, 1 part of Saposhnikovia divaricata, and 1 part of frankincense. Grind them into fine powder, cook with water and honey, and apply to the affected area.

2. Middle stage: [Treatment method] To renew the livelihood and heal the damaged bones.

[Prescription]: Main prescription: Shengxue Bu Sui Tang.

Prescription: 12 grams of Rehmannia root, 9 grams of white peony root, 6 grams of Chuanxiong, 9 grams of Astragalus, 9 grams of Eucommia, 9 grams of Acanthopanax bark, 9 grams of Achyranthes bidentata, 5 grams of Safflower, 9 grams of Angelica sinensis, and 9 grams of Dipsacus asper. Take it in decoction, 1 dose per day.

3. Late stage: [Treatment method] Nourish Qi and blood, replenish liver and kidney, and strengthen tendons and bones.

【Prescription】: Main prescription for three prescriptions for limb injuries.

Prescription: 12 grams of Angelica sinensis, 12 grams of white peony root, 12 grams of Dipsacus asper, 12 grams of Drynaria fortunei, 12 grams of Clematidis, 12 grams of papaya, 12 grams of Radix Trichosanthis, 15 grams of Astragalus, 15 grams of Rehmannia glutinosa, 10 grams of natural copper, and 10 grams of Earthworm. Take it in decoction, 1 dose per day.

For those with slow healing of middle and lower third tibia fractures, add 15 grams of Eucommia ulmoides and 12 grams of antler frost.

External use prescription: Washing prescription for lower limb injuries.

Prescription: 15 grams of smilax china, 15 grams of radix polygoni multiflori, 12 grams of trillium, 12 grams of curcuma, 12 grams of acanthopanax bark, 12 grams of gentiana macrophylla, 12 grams of pittosporum tobira bark, 10 grams of achyranthes bidentata, 10 grams of papaya, 10 grams of safflower, and 10 grams of rhubarb. After removing the splint, boil water and fumigate the affected limb, one dose per day. Recommended reading: How to eat best for patients with fractures

Fibula fracture has sequelae. Through the introduction, everyone should know that if it can be treated in time, there will be no sequelae. There are many reasons that can cause fibula fractures in our daily life. Direct violence and indirect violence can cause such phenomena. We must be able to carry out recovery treatment in time.